Method and apparatus for transforming coordinate systems in a telemanipulation system

ABSTRACT

In a telemanipulation system for manipulating objects located in a workspace at a remote worksite by an operator from an operator&#39;s station, such as in a remote surgical system, the remote worksite having a manipulator with an end effector for manipulating an object at the workspace, such as a body cavity, a controller including a hand control at the control operator&#39;s station for remote control of the manipulator, an image capture device, such as a camera, and image output device for reproducing a viewable real-time image, the improvement wherein a position sensor associated with the image capture device senses position relative to the end effector and a processor transforms the viewable real-time image into a perspective image with correlated manipulation of the end effector by the hand controller such that the operator can manipulate the end effector and the manipulator as if viewing the workspace in true presence. Image transformation according to the invention includes translation, rotation and perspective correction.

This is a Continuation of application Ser. No. 08/239,086 filed May 5,1994, now U.S. Pat. No. 5,631,973, the disclosure of which isincorporated by reference.

BACKGROUND OF THE INVENTION

This invention relates to telemanipulation using telepresence, and moreparticularly to applications of telemanipulation to laparoscopicsurgery.

A telemanipulation system allows an operator to manipulate objectslocated in a workspace from a remote control operator's station. Forexample, in a laparoscopic abdominal surgery procedure, the patient'sabdomen is insufflated with gas, and cannulas are passed through smallincisions to provide entry ports for laparoscopic surgical instruments.Laparoscopic surgical instruments include an image capture means forviewing the surgical field and working tools, such as forceps orscissors. The working tools are similar to those used in open surgery,except that the working end of each tool is separated from its handle byan extension tube. The surgeon performs surgery by sliding theinstruments through the cannulas and manipulating them inside theabdomen while referencing a displayed image of the interior of theabdomen. Surgery by telepresence, that is, from a remote location bymeans of remote control of the surgical instruments, is a next step. Asurgeon is ideally able to perform surgery through telepresence, which,unlike other techniques of remote manipulation, gives the surgeon thefeeling that he is in direct control of the instruments, even though heonly has remote control of the instruments and view via the displayedimage.

The effectiveness of telepresence derives in great measure from theillusion that the remote manipulators are perceived by the operator ofthe system to be emerging from the hand control devices located at theremote operator's station. If the image capture means, such as a cameraor laparoscope, are placed in a position with respect to themanipulators that differs significantly from the anthropomorphicrelationship of the eyes and hands, the manipulators will appear to belocated away from the operator's hand controls. This will cause themanipulators to move in an awkward manner relative to the viewingposition, inhibiting the operator's ability to control them withdexterity and rapidity. However, it is often unavoidable in applicationssuch as laparoscopic surgery to move the laparoscope in order to obtainthe best possible image of the abdominal cavity.

Thus, a technique is needed for providing to the operator the sense ofdirect hand control of the remote manipulator, even in the presence of asubstantially displaced imaging device, such that the operator feels asif he is viewing the workspace in true presence.

SUMMARY OF THE INVENTION

According to the invention, in a telemanipulation system formanipulating objects located in a workspace at a remote worksite by anoperator at an operator's station, such as in a remote surgical system,the remote worksite having a manipulator or pair of manipulators eachwith an end effector for manipulating an object at the workspace, suchas a body cavity, a controller including a hand control at the controloperator's station for remote control of the manipulators, an imagecapture means, such as a camera, for capturing in real-time an image ofthe workspace, and image producing means for reproducing a viewableimage with sufficient feedback to give the appearance to the controloperator of real-time control over the object at the workspace, theimprovement wherein means are provided for sensing position of the imagecapture means relative to the end effector and means are provided fortransforming the viewable real-time image into a perspective image withcorrelated manipulation of the end effector by the hand control meanssuch that the operator can manipulate the end effector and themanipulator as if viewing the workspace in substantially true presence.By true presence, it is meant that the presentation of an image is atrue perspective image simulating the viewpoint of an operator. Imagetransformation according to the invention includes rotation, translationand perspective correction.

The invention will be better understood by reference to the followingdetailed description in connection with the accompanying drawings.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1A is a side view of a remote operator station and of a worksitestation in a telemanipulation system according to the present invention.

FIG. 1B is a perspective view of a remote operator station and aworksite station adapted for stereoscopic viewing in a telemanipulationsystem according to the present invention.

FIG. 2 is a diagrammatic perspective view of a specific embodiment ofthe invention wherein the image capture means is centered and normalizedrelative to the viewpoint of an operator using the manipulators.

FIG. 3 is a diagrammatic perspective view of a specific embodiment ofthe invention wherein the image capture means is laterally displacedrelative to the viewpoint of an operator using the manipulators.

FIG. 4 is a diagrammatic perspective view of a specific embodiment ofthe invention wherein the image capture means is at a lower positionrelative to the viewpoint of an operator using the manipulators.

FIG. 5A is a front elevational view of the lenses of a stereoscopicimage capture means where the lenses are in a normalized positionrelative to the viewpoint of an operator using the manipulators.

FIG. 5B is a front elevational view of the lenses of a stereoscopicimage capture means where the lenses are rotated relative to theviewpoint of an operator using the manipulators.

FIG. 6A is a top plan view of an image of a remote manipulator in atelemanipulation system that shows a superimposed stereographicfour-point coordinate element prior to calibration.

FIG. 6B is a top plan view of an image of a remote manipulator in atelemanipulation system that shows a superimposed stereographicfour-point coordinate element after calibration.

FIG. 7A is a top plan view of an image of a remote manipulator in atelemanipulation system that shows the angle of displacement in thehorizontal of the image capture means relative to the manipulators.

FIG. 7B is an enlarged view of a portion of FIG. 4A that shows thecombined effect on the position of the end effector of a manipulatorafter a lateral shift.

FIG. 8 is a geometric depiction of the image of a manipulator as aprojection of a hand control.

FIG. 9 is a geometric depiction of the actual manipulator whose image isdepicted in FIG. 8.

DESCRIPTION OF SPECIFIC EMBODIMENTS

FIG. 1A shows a telemanipulation system 10 according to the presentinvention with a remote operator station 12 where an operator 14 (asurgeon, for example) can perform telemanipulation on an object at aworksite station 16. The remote station 12 includes a video display 20for the operator 14 to view the worksite and an apparent workspace 22where the operator 14 carries out the actual manipulations by graspinghand control means 24, 26, such as surgical instrument handles, whichare connected to position sensors 51, 55. The worksite station 16includes an image capture means 19, including a sensor means 21 withcamera lens 28 of a camera or endoscope and understanding that there isan image capture means 19 associated with that lens, which captures animage of an object located in the workspace 30. (An endoscope would bewithin the body cavity.) The manipulators 32, 34 allow manipulation ofthe object in the workspace 30 correlated with a displayed image by useof end effector means 39, 41.

The image captured at worksite 16 is transmitted through a number ofstages which present to operator 14 a real-time image of the object inthe workspace 30. In particular, sensor means 21, including opticalimage capture means 19, provides a view of the manipulators 32, 34through a camera lens 28, passing such image information via path 13 toan image processor 23. In addition, image sensor position information(camera position) may be passed on path 63 to coordinate transformer 43.(For a fixed camera, the camera position information can be preset).Further, mechanical position sensing means 59, 61 sense the position ofmanipulators 32, 34 mechanically, passing on the position information tocoordinate transformer 43 via path 157.

The image processor 23 includes a rotation and translation means 25, aperspective correction means 29 and a calibration means 27. The rotatoris for rotating the image and the translator is for shifting the rotatedimage. The perspective corrector 29 is primarily for magnifying theimage and may include some tilt correction. The calibrator 27 may havevarious functions, depending upon the type of image input. It is inparticular used to calibrate the image to a known reference coordinatesystem to enable an operator to coordinate motions of the hand controlsand the manipulators. After the image has undergone transformationthrough one or more of these function blocks, the pixel data is passedon path 15 to an imager 31 which drives a video display 20, which inthis embodiment is a monoscopic device, and data about the image ispassed on to the coordinate transformer 43, whereby any processed imagedata potentially affecting control of the manipulators (e.g.,magnification, rotation, translation) is made available for the controlof the manipulators. The details of the processes which may be affectedare explained hereinbelow, particularly with respect to calibration.

The coordinate transformer 43 is the principal processor of positioninformation. Camera position information, manipulator positioninformation, and hand control position information are received andprocessed therein. In particular, the positions of hand controls 24, 26are sensed by position sensors 51, 51 and passed via path 47 tocoordinate transformer 43. After transformation and processing incoordinate transformer 43, control information is applied toposition-following servo 45, which drives and controls manipulators 32,34 with end effectors 39, 41. The operation of each of these blocks willbe described in further detail.

In operation, the camera lens 28 captures the image of the object in theactual workspace 30 in a specific orientation on image capture means 19.The video display 20 displays this image so that the operator 14 canview the object as it is manipulated. The operator 14 may then grasphand control means 24, 26 located in the apparent workspace 22 to carryout the desired manipulations. The hand control means 24, 26 at remotestation 12 under instruction of the position-following servo 45 controlthe manipulators 32, 34 at worksite station 16, which actuallymanipulate the object in workspace 30. The actual workspace 30 is thuseffectively projected back to the remote operator 14 to create theillusion that he is reaching and looking directly into it andcontrolling the object located in workspace 30. Properly projected, thisresults in natural and spontaneous control motions by the operator 14,even if he is located in an another room or another extremely remotelocation.

The problems addressed by the present invention arise from the situationwhere the camera lens 28 is not placed at the same position in the realworkspace 30 relative to the manipulators 32, 34 as the eyes of thecontrol operator viewing the projected image in the "apparent" workspace22 relative to the hand control means 24, 26. A solution is provided bythe present invention.

The telemanipulation system according to the present invention can alsobe adapted to accommodate stereoscopic viewing. FIG. 1B shows all theelements of FIG. 1A, with the addition of a second camera lens 36 andimage capture means 35. The two camera lenses 28 and 36 can be separatedby about 10°, which is the same interocular viewing disparity that oneexperiences when viewing a visual field at 40 cm separation. The stereoimage is displayed on a stereo video display monitor 38 (e.g. using anelectronically switched polarizer 37 over the screen) and viewed throughcross-polarized stereoscopic lenses 40, thus offering a natural image tothe remote operator 14 so that the operator experiences the correctvisual feedback when reaching and looking directly into the actualworkspace 30 and directly manipulating the object located therein. Thedetails of the system are explained hereinafter.

FIG. 2 is a diagrammatic perspective view of the elements of theworksite station 16 in workspace 30 of the telemanipulation system,showing features of FIG. 1 which are in a control loop. The system anoperator at a remote station to manipulate objects located at acenterpoint 50 in the workspace 30. In the monoscopic system, sensormeans 21 with camera lens 28 and image capture means 19 captures areal-time image of the object. The operator 14 uses dual hand controlmeans 24, 26 to control left manipulator 32 and right manipulator 34,respectively, which allow remote manipulation of the object at theworkspace 30. For hand control means 24, 26 and manipulators 32, 34,there is in this example a fixed pivot point about which bidirectionalangular motion can be effected, together with a telescopic-likeextension capability for each of the manipulators and hand controllers.The correlation between the hand control means 24, 26 and themanipulators 32, 34, combined with the image captured by the camera lens28, provide sufficient feedback to give the appearance to the controloperator of real-time control over the object at the workspace (furtherimprovement is possible with tactile feedback). Both left manipulator 32and right manipulator 34 are in this example raised 300 with respect toan arbitrary plane of orientation, including a centerline axis 52 of theworkspace 30, to simulate a typical positioning of an object in the reallocal workspace 30.

In operation, camera lens 28 is at the 0° lateral position with respectto the centerline axis 52, such that the camera lens 28 is between leftmanipulator 32 and right manipulator 34. The face of the camera lens 28is raised at for example a 45° angle with respect to the planecontaining centerline axis 52 and baseline 53. This camera position andorientation is a close approximation to the actual eye position withrespect to the manipulators 32 and 34 and represents a base or referenceposition. The image captured by the camera lens 28 appears as if theoperator were looking at the centerpoint 50 while standing over themanipulators 32 and 34 with a 45° angle view into the workspace. Bothleft manipulator 32 and right manipulator 34 appear in the bottom of thedisplayed image (proximal to the operator's hand controls), evoking astrong sense of telepresence, which means that the operator sensesdirect control of manipulators 32 and 34, allowing control withdexterity and rapidity, particularly where there is tactile feedbackfrom the manipulators 32, 34 to the hand control means 24, 26.

In a telemanipulation application in which positioning of elements isdifficult due to obstructions, it is often necessary to move the cameralens 28 to different positions result in a different view of the objectat the centerpoint 50. Referring to FIG. 3, a diagrammatic perspectiveview of the elements in workspace 30 of the worksite station 16 of amonoscopic telemanipulation system is shown in which the camera lens 28position is rotated by angle θ 58 laterally in the horizontal plane awayfrom the centerline axis 52. After rotation of the camera lens 28, leftmanipulator 32 and right manipulator 34 are still inclined downward at a30° angle relative to the plane containing centerline axis 52 andbaseline 53, and the camera lens 28 is still positioned at an angle θabove the plane formed by centerline axis 52 and baseline 53. In orderto evoke a sense of telepresence in the operator similar to the case inwhich the camera lens 28 is positioned directly over manipulators 32 and34 (as in FIG. 2), according to the invention, the captured imageprojected by the camera lens 28 is rotated about visual axis 54 throughthe center of the camera lens 28. This compensates for rotation about"vertical" axis U to effect a static reorientation of the apparentmanipulator positions.

It should be understood that camera lens 28 and image capture means 19enjoy a full range of rotation about vertical axis U, and that theangles relative to reference planes and the like of the manipulators andthe camera are dictated by the constraints of the operating environment.Additionally, camera lens 28 may be positioned at different anglesrelative to the plane formed by centerline axis 52 and baseline 53. Forexample, FIG. 4 shows camera lens 28 positioned at an elevation of 15°above the (arbitrary) reference plane formed by centerline axis 52 andbaseline 53. In this alignment, camera lens 28 is below manipulators 32,34.

If the image is purely monoscopic as depicted in FIG. 1A, the system caneffect static reorientation of the manipulators 32 and 34 about an axis54 through a point, specifically center point 50, by rotating thedigital image through rotation means 25. FIG. 3 shows the relevantangles of rotation. Angle Φ 56 denotes the angle of declination of thevisual axis 54 of camera lens 28 below vertical axis U. Angle θ 58denotes the rotation of camera lens 28 position in the horizontal plane(formed by lines 52, 53) away from centerline axis 52 relative to thecenterpoint 50.

Rotation means 25 effects static realignment of the manipulators byrotating the real-time image pixel-by-pixel by an angle approximatelyequal to -θ, according to known methods. After this operation iscomplete, the left manipulator 32 and right manipulator 34 appear in thebottom of the displayed image (lower half of the projected screen). Thecamera lens 28 remains stationary, and the displayed image is rotatedthrough image manipulation. Note that if hand control means 24, 26 atthe operator's station are positioned above the viewpoint of the controloperator, the rotation of the displayed image will correct the displayedimage to the point where the manipulators appear in the top of thedisplayed image (upper half of the projected screen). In either case,the transformation of the displayed image allows the operator to viewthe manipulators as if emerging from the operator's hand controls. Theremapping of the image is effected before actual control can beeffected.

In addition to effecting static realignment through digital imagetransformation, transformation means 25 may effect dynamicsynchronization of apparent manipulator tip positions with hand controlpositions by performing the following coordinate transformation on thevideo image data. The actual position of the manipulator tips in theworkspace 30 can be transformed to an apparent position in the displayedimage so that the manipulators will appear to move as though rigidlyconnected to the operator's hand controls. The altering of the apparentposition of the manipulator tips improves the dexterity of the operatorin handling the object in the workspace 30. Because the end point of theend effector of the manipulator is known, the point (a,b,c) can berelated to the angular position and length of the manipulator, and thepoint (p,q,r) can be related to the same parameters relative to the handcontrol using well-known trigonometric relationships between vectors andtheir endpoints. Thus: ##EQU1## In connection with the transformationassociated with the above equation, the image is rotated by an angle θ'selected by the operator to bring the apparent position of themanipulators into substantial registration with the hand controls. It isan observation that angle θ'≈-θ. This transformation describes therelationship between the position of the point represented by the endeffector means at (a,b,c) (for either end effector means) relative tothe point (p,q,r) of the corresponding tip of the manipulator in theapparent workspace in the displayed image on video display 20.

Another method of achieving static reorientation of manipulatorpositions is to rotate the image capture means about its visual axis.Referring again to the monoscopic system depicted in FIG. 1A and FIG. 3,camera lens 28 is rotated about its own visual axis 54, an axis normalto the plane of the camera lens 28, to the point where left manipulator32 and right manipulator 34 appear in the bottom of the displayed image(lower half of the projected screen). Note again that if hand controlmeans at the operator's station are positioned above the viewpoint ofthe control operator, the rotation of camera lens 28 and image capturemeans 19 will correct the displayed image to the point where themanipulators appear in the top of the displayed image (upper half of theprojected screen).

To preserve the stereoscopic effect, in the case of stereoscopicimaging, as depicted in FIG. 1B, rotations cannot be done about separateaxes through each camera lens, but (referring to FIG. 5A and FIG. 5B)must be done in concert about a single axis offset from either lens.Specifically, rotation is done normal to center axis 57 passing throughthe centerpoint 50 and an arbitrary point on center axis 57 between thestereoscopic camera lenses 28 and 36 (FIGS. 5A & 5B). This axis issimilar to the visual axis 54 described in connection with FIG. 2.Referring to FIG. 5A, the lenses of a stereoscopic device are shown intheir initial position. Center axis 57 shows the fixed relation of eachlens of the camera pair and is parallel to a reference axis 59 parallelto an axis in the plane formed by manipulators 32, 34 intersecting atthe centerpoint 50, where the axis is normal to a line bisecting themanipulators and passing through the centerpoint 50. In order toreorient the displayed image through rotation of the image capturemeans, center axis 57 is canted relative to a reference plane 59 passingthrough centerpoint 50, which plane includes reference axis 59, as shownin FIG. 5B.

There is a limitation on the amount of visually acceptable rotation ofthe stereoscopic image capture means 19, 35 and the elevation of theimage capture means 19, 35 relative to the plane of the manipulators 32,34. The elevation cannot be so great as to make it impossible to changethe relative view angle of each of the two manipulators relative to oneanother. Clearly, if angle Φ equals 90° elevation (where the viewingaxis 54 lies in the reference plane formed by lines 52 and 53), nouseful change in the relative view angle will be achieved by rotatingthe image. At other angles of elevation, the limitation depends on theseparation angle of the manipulators 32, 34 and secondarily on theseparation of the stereoscopic lenses 28, 36.

In addition to achieving static reorientation of manipulator positionsby rotation of the camera lens 28, the system can effect a dynamicrealignment by performing a coordinate transformation throughtranslation means 25. The actual position of the manipulator tips in theworkspace 30 can be transformed to an apparent position in the displayedimage so that the manipulators will appear to move as though rigidlyconnected to the operator's hand controls. The altering of the apparentposition of the manipulator tips improves the dexterity of the operatorin handling the object in the workspace 30.

FIG. 8 and FIG. 9 depict the image 132 of a manipulator (32) and anactual manipulator 32, respectively, relative to a hand control 24. Inthis example, and comparing FIG. 2, manipulators and correspondingcontrollers represented by hand controls are of a type utilizing asingle pivot point 151, 161 in connection with the position sensors 51,61 with two dimensional pivot about the point(s) and extension along theaxis of the manipulator 32. Other motions consistent with theseactuations, such as longitudinal rotation of the manipulator about itsaxis is contemplated by the invention. With reference to FIG. 8 and FIG.9, movement of the hand control 24 causes the manipulator tip 72 to moveto a new point (a,b,c) in workspace 30 such that the image 132 of themanipulator tip 172 moves to a new point (p,q,r) in the apparentworkspace 22, that point appearing in the view of the operator to be atthe extended end of the hand control 24. It may be preferable to expressthe servo commands relating the hand control and the correspondingmanipulator in their polar coordinate systems (Ω, Ψ, L) and (Ω', Ψ',L'). These polar coordinates and their respective points in Cartesiancoordinate systems are related by well-known polar to Cartesiantransformations.

Referring again to FIG. 3, the specific angles of rotation used incalculating the coordinate transformation are shown. Angle Φ 56 denotesthe angle of declination of the visual axis 54 of camera lens 28 belowvertical axis U. Angle θ 58 denotes the rotation of camera lens 28 inthe horizontal plane away from centerline axis 52 relative to thecenterpoint 50 in the workspace 30. Angle Γ 60 denotes the rotation ofcamera lens 28 about its visual axis 54.

In operation of a monoscopic telemanipulation system, camera lens 28 andimage capture means 19 are rotated about visual axis 54 as describedabove. The coordinates (a,b,c) in a reference orthogonal Cartesiancoordinate system of the three-dimensional workspace 30 define theactual position of the tip of a manipulator, such as left manipulator32. The following matrix equation relates the desired apparent position(p,q,r in orthogonal Cartesian space) of the manipulator tip in thedisplayed image in video display 20 to the actual position (a,b,c) ofthe manipulator tip in the workspace 30: ##EQU2## When the manipulatortip is displayed at a position (p,q,r) in the displayed image in videodisplay 20, the manipulator will appear to the operator as if it isactually at the end of the operator's rigid hand control device. Thecoordinate transformation improves the ease with which the operator canhandle objects in the workspace using a telemanipulation system.

In the case of stereoscopic imaging, the stereo image capture means 19,35 is rotated relative to a reference axis 59 parallel to an axis in theplane formed by manipulators 32, 34 intersecting at the centerpoint 50,where the axis is normal to a line bisecting the manipulators andpassing through the centerpoint 50, as shown in FIG. 5B. Angle Γ 60measures the amount of rotation of the stereoscopic lenses 28, 36, andits value can be used in Eq. 2 to calculate the proper coordinatetransformation for stereoscopic viewing.

In order to ensure that the movements of the manipulators 32, 24 inworkspace 30 properly track the movements of the hand controls 24, 26 inthe operator's apparent workspace 22 even without complete knowledge ofall angles and positions, the operator can establish a calibrationreference for manipulators 32, 34 as they are viewed in the displayedimage in video display 20 in connection with the position-followingservo. Referring to FIG. 6A, which shows the image displayed in videodisplay 20, a four-point coordinate graphic element 62 for example inthe form of a tetrahedron or cube structure in three-dimensional viewmay be superimposed in three-dimensional space on the stereo imagedisplay, providing a coordinate reference in the three-dimensional imagespace. To calibrate the position of a single manipulator with respect toits corresponding hand control, the system "opens" the control loop, andthe operator 14 moves hand control 24, for example, while observing themotion of the tip of manipulator 32, steering the tip until it appearsto be touching a first reference point 64 of superimposed graphicelement 62, as shown in FIG. 6B. (Since the motion of the hand controland manipulator tip have not yet been coordinated, the alignment of thetip with the first reference point may require very deliberate effort.)The operator 14 then indicates to the system that superposition ofmanipulator and reference point has been achieved (e.g., a "set" signalis sent to the system).

The system then locks the manipulator 32 into place, opens the controlloop by decoupling it from the hand control 24 and instructs theoperator 14 to release the hand control 24. The system adjusts theextension L (FIGS. 8 and 9) of the hand control to match that of themanipulator L', by inserting the offset σ₃ =L-L', so that when thecontrol loop is closed, there will be no reactive motion by eitherdevice. That is, the apparent extension positions of the hand control 24and manipulator 32 must be identical when compared in the control loop.The system then closes the control loop and unlocks the manipulator 32,returning control to the operator 14.

The operator then moves the hand control about its pivot point to anangular orientation (Ψ,Ω) at which the operator senses that the image ofthe manipulator appears to emerge from the operator's hand control.Similar to the process described above, the system computestransformations which ensure that there will be no reactive motion byeither master or slave when the control loop is closed. The systemcalculates angular offsets σ₁ =Ψ-Ψ' and σ₂ =Ω-Ω' and transforming theapparent position of the master or the slave prior to closing thecontrol loop. The system now records the positions in three-dimensionalspace of the hand control master (Ψ₁, Ω₁, L₁) and the manipulator slave(Ψ'₁, Ω'₁, L'₁).

The operator repeats the elements of this process with the remainingreference points of the superimposed graphic element 62. The system maythen derive and install the following linearized equation relatingincremental changes in the position of the hand control masters 24, 26to incremental changes in the position of the manipulator slaves 32, 34,using the data sets to determine the coefficients of the equationsrelating the positions: ##EQU3## The solution to the above linearizedequation is as follows: ##EQU4## The system installs these coefficientvalues in the coordinate transformer 43 which controls servo 45, withappropriate offsets σ₁, σ₂ and σ₃, so that there is no reactive motionwhen the loop is closed.

In an alternative embodiment, calibration of the manipulators isachieved through virtual movement with the assistance of the system.Referring to FIG. 6B, the system moves manipulator tip 32, rather thanthe operator guiding the manipulator tip 32, to one of four definedpoints in the three-dimensional workspace 30, such as reference point 64as seen by the operator. Using the hand control 24, the operator 14 thendynamically calibrates the position of the manipulator 32 by steering anoverlaid graphic dot until it appears superimposed on the manipulatortip 32. The operator 14 then indicates to the system that superpositionof manipulator tip 32 and reference point 64 has been achieved, and thecoordinates of the manipulator 32 and hand control 24 are recorded. Theprocess is repeated for the remaining reference points, after which thesystem derives and installs a coordinate transformation formula in thecoordinate transformer 43, as described in the above embodiment.

In actual practice, it is preferable for the surgeon, rather than thesystem, to initiate the calibration process if the invention is beingused in laparoscopic surgery. During surgery, the calibration process isbeing carried out within a patient's abdomen, where there is little roomto maneuver. Hence, automatic movements of the manipulator, howeversmall, may be considered less desirable than operator-controlledmovements.

Another method for evoking a sense of telepresence in a telemanipulationsystem involves the use of a specific coordinate transformation tocompensate for other changes in the displayed image, such as a lateralshift or a scale change. The camera may undergo a lateral or angulardisplacement, causing the displayed image to shift. In addition, thecamera may be capable of magnifying the object in the workspace, whichcauses a scale change and a displacement of the apparent pivot point ofthe manipulator.

FIGS. 7A and 7B show the combined effect of a lateral shift of the imageand a scale change brought about by magnification of the image. FIG. 7Ashows a portion of the displayed image, including a manipulator 32, in atwo-dimensional field. The center of the image is at coordinates (0,0).The operator experiences the best possible sense of telepresence if themanipulator tip 72 at coordinates (u,v) in the image field appears tomove as if it were rigidly attached to the control device in theoperator's hand. The control device is pivoted at point (m,n) in thefigure. The manipulator lies at an angle α 74 to the y-axis, and thedistance from pivot point (m,n) to manipulator tip (u,v) is length L 76.

FIG. 7B shows what the operator would see if the image were magnified bya factor M. The center of the image is shifted laterally by a distanceof Δx and Δy, and the new apparent coordinates of the manipulator tip 72are (u',v'). In order to ensure a desired level of telepresence, angle α74 and length L 76 are remapped through perspective correction means 29in the displayed image to give the operator the impression that themanipulator tip 72 is still rigidly attached to the hand control device.The following pair of equations describe the remapping of angle α 74into angle α' 78 and length L 76 into length L' 80:

    α'=arc tan  (u'-m)/(v'-n)!

and

    L'= (u'-m).sup.2 +(v'-n).sup.2 !.sup.1/2

where:

    u'=M(u-Δx)v'=M(v-Δy)

and where

    u=L(sin α)+mv=L(cos α)+n

When α and L are remapped according to the above equations, themanipulator tip 72 appears in the displayed image to move as if it wererigidly connected to the operator's hand control device.

The above relationships can be extended to include transformations inthree dimensions in order to compensate for displacement of themanipulators when the camera lens 28 is rotated about its own visualaxis 54, as in the embodiment described with respect to FIG. 3. In allcases, the desired goal of maintaining the perceived plane containingthe two manipulators coincident with the plane of the two hand controlsis achieved.

The invention has now been explained with reference to specificembodiments. Other embodiments will be apparent to those of ordinaryskill in the art upon reference to the present description. For example,the invention can be extended to articulated manipulators with multiplepoints of rotation and translation or with pivot points at locations notphysically attached to the manipulators. It is therefore not intendedthat this invention be limited, except as indicated by the appendedclaims.

What is claimed is:
 1. A telemanipulation surgical system for surgery ata worksite internal to a patient wherein the surgical system comprises asurgical instrument and a controller having a hand control in anapparent workspace for remote control of the surgical instrument by anoperator, an image capture device for taking a real-time image of theinternal worksite within the patient, and an image generator forproducing a display on a monitor for eyes of the operator, saidcontroller further comprising:an image processor coupled to said imagecapture device for processing the real-time image into a processed imagefor display to the operator, wherein said image capture device is at anangle and an arbitrary position relative to the surgical instrument atthe worksite which differs from an anthropomorphic relative position ofeyes of the operator and the hand control in the apparent workspace,said image processor and said image generator cooperating to produce animage of said surgical instrument which image is coincident with theanthropomorphic position of said hand control; a sensor coupled to thesurgical instrument for detecting an actual position of the surgicalinstrument within the internal worksite; and a coordinate transformercoupled to the image processor and the sensor, the coordinatetransformer translating the actual position of the surgical instrumentin the real-time image to a perceived position in the processed imagesuch that the surgical instrument appears at or near the anthropomorphicposition to the image capture device in the processed image.
 2. Thesystem of claim 1 wherein the coordinate transformer translates anactual orientation of the surgical instrument in the worksite to aperceived orientation in the processed image such that the surgicalinstrument appears to extend directly outward from the image capturedevice.
 3. The system of claim 1 wherein the display is located at thehand control such that the surgical instrument appears to be integralwith the hand control in the processed image.
 4. The system of claim 2further comprising a servomechanism for directly correlating movement ofthe hand control with movement of the surgical instrument in theprocessed image such that movement of the hand control relative to theposition and orientation of the hand control in the apparent workspaceresults in movement of the surgical instrument relative to the actualposition and the actual orientation of the surgical instrument at theinternal worksite.
 5. A method of performing surgery by an operator at aremote location with a hand-operated controller comprising:positioning adistal end portion of a surgical instrument adjacent an internalworksite within a patient's body; positioning an image capture device atan arbitrary position relative to the surgical instrument at theinternal worksite which differs from an anthropomorphic relativeposition of eyes of the operator and the controller at an apparentworksite; detecting an actual position of the surgical instrument withinthe internal worksite; taking a real-time image of the positionedsurgical instrument and at least a portion of the internal worksite withthe positioned image capture device; processing the real-time image intoa processed image for display to the operator at the apparent worksite;and transforming the actual position of the surgical instrument withinthe real-time image in the internal worksite to a perceived positionsuch that the surgical instrument appears at or adjacent theanthropomorphic relative position to the image capture device in theprocessed image.
 6. The method of claim 5 further comprising translatingan actual orientation of the surgical instrument in the internalworksite to a perceived orientation in the processed image such that thesurgical instrument appears to extend directly outward from the imagecapture device.
 7. The method of claim 5 further comprising positioningthe hand-operated controller at the perceived position of the surgicalinstrument in the processed image such that the surgical instrumentappears to be integral with the hand control in the processed image. 8.The method of claim 5 further comprising directly correlating movementof the hand-operated controller with movement of the surgical instrumentin the processed image such that movement of the hand-operatedcontroller relative to the hand-operated controller corresponds tomovement of the surgical instrument relative to the actual position ofthe surgical instrument at the internal worksite.
 9. A telemanipulationsurgical system to help an operator perform surgery at a worksiteinternal to a patient, the surgical system comprising:a surgicalinstrument; an image capture device for taking a real-time image of thesurgical instrument within the internal worksite, wherein said surgicalinstrument defines an arbitrary position relative to the image capturedevice; a controller defining an apparent workspace, the controllerincluding:a hand control; an image processor coupled to said imagecapture device for processing the real-time image into a processedimage; a coordinate transformer coupled to the image processor, thecoordinate transformer transforming an actual position of the surgicalinstrument in the real-time image to a perceived position; and an imagegenerator coupled to the image processor for displaying the processedimage to the operator; wherein the hand control defines ananthropomorphic position relative to eyes of the operator which isdifferent than the arbitrary position, and wherein the image generatordisplays the processed image to the eyes of the operator such that thesurgical instrument at the perceived position appears coincident withthe hand control; and a servomechanism coupling the hand control to thesurgical instrument for correlating movements of the hand control in theapparent workspace with the movements of the surgical instrument in theinternal worksite.
 10. A surgical system as claimed in claim 9, whereinthe image generator is positioned to display the processed image suchthat the surgical instrument appears integral with the hand control tothe operator.
 11. A surgical system as claimed in claim 9, wherein thesurgical instrument further defines a first orientation relative to theimage capture device, wherein the hand control defines a secondorientation relative to the eyes of the operator which is different thatthe first orientation, and wherein the surgical instrument appears at ornear the second orientation in the processed image displayed by theimage generator to the eyes of the operator.